Individual
DR. SAMUEL PETER O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
LL94722
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2025
Last updated
06/30/2025
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